Lake Woods Nursing & Rehabilitation Center

1684 Vulcan Street · Muskegon, MI · 49442 · 2317772511

90 certified beds For profit - Corporation Chain: The Peplinski Group

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $51,948 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$51,948 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 46
Staffing 20% 74
Federal penalties 15% 15
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.873.48 min · 4.1 strong
RN hours / resident-day0.760.55–0.75
Weekend hours / resident-day3.63≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)2 · $67,541

Inspection citations (43 in the current record)

  • Potential for harm · D April 15, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 22, 2026 · Quality of Life and Care

  • Potential for harm · D February 10, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 6, 2026 · Resident Assessment and Care Planning

  • Actual harm · G May 1, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 4, 2025 · Quality of Life and Care

  • Potential for harm · D May 1, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 26, 2025 · Quality of Life and Care

  • Potential for harm · D May 1, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 26, 2025 · Quality of Life and Care

  • Potential for harm · D May 1, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F May 1, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 26, 2025 · Infection Control

  • Potential for harm · D May 1, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 26, 2025 · Environmental

  • Potential for harm · D May 1, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 23, 2024 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected November 26, 2024 · Resident Rights

  • Potential for harm · D October 23, 2024 · found via complaint

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected November 26, 2024 · Resident Rights

  • Potential for harm · D October 23, 2024 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected November 26, 2024 · Pharmacy Service

  • Potential for harm · D October 23, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 19, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 19, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 20, 2024 · Quality of Life and Care

  • Actual harm · G June 12, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 4, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G May 20, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 18, 2024 · Quality of Life and Care

  • Potential for harm · D May 20, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected June 18, 2024 · Resident Rights

  • Potential for harm · D May 20, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected June 18, 2024 · Resident Rights

  • Potential for harm · D May 20, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 18, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 20, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected June 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 20, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 18, 2024 · Quality of Life and Care

  • Potential for harm · E May 20, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 18, 2024 · Quality of Life and Care

  • Potential for harm · D May 20, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 18, 2024 · Quality of Life and Care

  • Potential for harm · D May 20, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected June 18, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 1, 2025Fine$51,948
May 1, 2025Payment Denial8 days
May 20, 2024Payment Denial35 days
September 12, 2023Fine$15,593

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235116 · certified since October 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.